Provider Demographics
NPI:1609571439
Name:THOMAS, JOHN R (LPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:R
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1067 E US HIGHWAY 24 # 243
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-2120
Mailing Address - Country:US
Mailing Address - Phone:719-357-3392
Mailing Address - Fax:
Practice Address - Street 1:400 W MIDLAND AVE STE 275
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-3204
Practice Address - Country:US
Practice Address - Phone:719-357-3392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021356101YP2500X
TX84357101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional